Long Mesentericoportal Vein Resection and End-to-End Anastomosis Without Graft in Pancreaticoduodenectomy

Introduction The feasibility and safety of pancreaticoduodenectomy (PD) combined with long segmental mesentericoportal vein (MPV; >5 cm) resection and end-to-end anastomosis without graft has rarely been demonstrated. Materials and methods Eight patients with pancreatic head adenocarcinoma underw...

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Veröffentlicht in:Journal of gastrointestinal surgery 2009-08, Vol.13 (8), p.1524-1528
Hauptverfasser: Zhang, Ji, Qian, Hong-Gang, Leng, Jia-Hua, Cui, Ming, Qiu, Hui, Zhou, Guo-Quan, Wu, Jian-Hui, Yang, Yong, Hao, Chun-Yi
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container_end_page 1528
container_issue 8
container_start_page 1524
container_title Journal of gastrointestinal surgery
container_volume 13
creator Zhang, Ji
Qian, Hong-Gang
Leng, Jia-Hua
Cui, Ming
Qiu, Hui
Zhou, Guo-Quan
Wu, Jian-Hui
Yang, Yong
Hao, Chun-Yi
description Introduction The feasibility and safety of pancreaticoduodenectomy (PD) combined with long segmental mesentericoportal vein (MPV; >5 cm) resection and end-to-end anastomosis without graft has rarely been demonstrated. Materials and methods Eight patients with pancreatic head adenocarcinoma underwent PD combined with long MPV resection between August 2006 and May 2008 in Peking University School of Oncology. Results By liver mobilization and Cattell–Braasch maneuver, direct and tension-free end-to-end anastomosis was easily performed even when the resected segment of the MPV was longer than 5 cm. All the eight patients experienced uneventful recovery without severe complications. Conclusions PD with long MPV resection and direct end-to-end anastomoses is safe and effective.
doi_str_mv 10.1007/s11605-008-0777-3
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Materials and methods Eight patients with pancreatic head adenocarcinoma underwent PD combined with long MPV resection between August 2006 and May 2008 in Peking University School of Oncology. Results By liver mobilization and Cattell–Braasch maneuver, direct and tension-free end-to-end anastomosis was easily performed even when the resected segment of the MPV was longer than 5 cm. All the eight patients experienced uneventful recovery without severe complications. Conclusions PD with long MPV resection and direct end-to-end anastomoses is safe and effective.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-008-0777-3</identifier><identifier>PMID: 19082669</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adenocarcinoma - surgery ; Aged ; Anastomosis, Surgical ; Blood Vessel Prosthesis ; Contraindications ; Female ; Follow-Up Studies ; Gastroenterology ; How I Do It ; Humans ; Male ; Medical treatment ; Medicine ; Medicine &amp; Public Health ; Mesenteric Veins - surgery ; Middle Aged ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy - methods ; Portal Vein - surgery ; Retrospective Studies ; Surgery ; Vascular Surgical Procedures - methods</subject><ispartof>Journal of gastrointestinal surgery, 2009-08, Vol.13 (8), p.1524-1528</ispartof><rights>The Society for Surgery of the Alimentary Tract 2008</rights><rights>The Society for Surgery of the Alimentary Tract 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-488597493b77ddd33077641f8020882ffdda8e7c8f619c40b51697780d2a092c3</citedby><cites>FETCH-LOGICAL-c370t-488597493b77ddd33077641f8020882ffdda8e7c8f619c40b51697780d2a092c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-008-0777-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-008-0777-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19082669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Ji</creatorcontrib><creatorcontrib>Qian, Hong-Gang</creatorcontrib><creatorcontrib>Leng, Jia-Hua</creatorcontrib><creatorcontrib>Cui, Ming</creatorcontrib><creatorcontrib>Qiu, Hui</creatorcontrib><creatorcontrib>Zhou, Guo-Quan</creatorcontrib><creatorcontrib>Wu, Jian-Hui</creatorcontrib><creatorcontrib>Yang, Yong</creatorcontrib><creatorcontrib>Hao, Chun-Yi</creatorcontrib><title>Long Mesentericoportal Vein Resection and End-to-End Anastomosis Without Graft in Pancreaticoduodenectomy</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Introduction The feasibility and safety of pancreaticoduodenectomy (PD) combined with long segmental mesentericoportal vein (MPV; &gt;5 cm) resection and end-to-end anastomosis without graft has rarely been demonstrated. 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&gt;5 cm) resection and end-to-end anastomosis without graft has rarely been demonstrated. Materials and methods Eight patients with pancreatic head adenocarcinoma underwent PD combined with long MPV resection between August 2006 and May 2008 in Peking University School of Oncology. Results By liver mobilization and Cattell–Braasch maneuver, direct and tension-free end-to-end anastomosis was easily performed even when the resected segment of the MPV was longer than 5 cm. All the eight patients experienced uneventful recovery without severe complications. Conclusions PD with long MPV resection and direct end-to-end anastomoses is safe and effective.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19082669</pmid><doi>10.1007/s11605-008-0777-3</doi><tpages>5</tpages></addata></record>
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subjects Adenocarcinoma - surgery
Aged
Anastomosis, Surgical
Blood Vessel Prosthesis
Contraindications
Female
Follow-Up Studies
Gastroenterology
How I Do It
Humans
Male
Medical treatment
Medicine
Medicine & Public Health
Mesenteric Veins - surgery
Middle Aged
Pancreatic Neoplasms - surgery
Pancreaticoduodenectomy - methods
Portal Vein - surgery
Retrospective Studies
Surgery
Vascular Surgical Procedures - methods
title Long Mesentericoportal Vein Resection and End-to-End Anastomosis Without Graft in Pancreaticoduodenectomy
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